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September 17, 2025

Generative AI as digital therapy: What we know and how to make it better?

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Critical review reveals therapeutic alliance with chatbots in mental health, highlighting ethical implications.

Encouraging evidence for a therapeutic alliance with generative AI chatbots indicates potential in mental health treatment.
Evaluation shows issues like selection bias and insufficient sample diversity, raising ethical concerns in Gen-AI implementation.
Proposed approach aims to enhance Gen-AI's effectiveness by integrating user psychological traits to build a stronger connection.
Robust participant screening and clear clinical protocols are essential to mitigate potential risks associated with generative AI.

Castiello et al. (2025) studied this question.

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